Meadows Healthcare Alliance

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

2006000651 Issued in GA

Legal business name

MEADOWS HEALTHCARE ALLIANCE

Doing business as

Alliance Home Medical

Practice address

1107 E 1St St
Vidalia, GA 30474-4205

Phone

(912) 537-6930

Fax

(912) 537-6934

NPI assigned

Dec 20, 2006

Last updated

Mar 9, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

MEADOWS REGIONAL HOME CENTERAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Richard Cornell

Title

Chief Financial Officer

Phone

(912) 538-5881

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Alliance Home Medical Doing business as

Part of

Meadows Reg Med Center

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1821152596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E 1ST ST",
            "address_2": "PO BOX 1915",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304744205",
            "telephone_number": "912-537-6930",
            "fax_number": "912-537-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 E 1ST ST",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304744205",
            "telephone_number": "912-537-6930",
            "fax_number": "912-537-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWS HEALTHCARE ALLIANCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEADOWS REGIONAL HOME CENTER",
        "enumeration_date": "2006-12-20",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "912-538-5881",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "2006000651",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "GA",
            "license": "2006000651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071161916A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew McMillin, DMD
• Sherita A McQueen, PHLEBOTOMIST
• Me Pivot Holdings LLC (Miracle-Ear Center)
• Meadows Anesthesia LLC
• Meadows DME, LLC
• Meadows Park Health & Rehabilitation LLC (Meadows Park Health and Rehabilitation)
• Meadows Regional Cancer Center
• Meadows Regional Medical Center
• Meadows Regional Medical Center
• Meadows Regional Medical Center Inc (Meadows Regional Medicalcenter)

• Oxygen Equipment & Supplies (DME) in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Oxygen Equipment & Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.